RONALD W FORSBERG DDS PA NPI 1164520540

NPI Information

NPI: 1164520540
Provider Name: RONALD W FORSBERG, DDS PA
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
2005 PINE ST
SANDPOINT, ID
ZIP 83864
Phone: (208) 265-4115
Get Directions

Ronald W Forsberg, DDS PA is a general practice dentist in Sandpoint, ID. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Ronald W Forsberg, DDS PA NPI is 1164520540. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2005 PINE ST
SANDPOINT, ID
ZIP 83864-327
Phone: (208) 265-4115
Fax: (208) 265-2365

The enumeration date for this NPI number is 9/20/2006 and was last updated on 8/6/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	D1746	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000010009601	OTHER	IDAHO	REGENCE BLUE SHIELD OF ID
2	67413	OTHER	IDAHO	BLUE CROSS OF IDAHO
3	000439700	MEDICAID	IDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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